The Silent Patient

⇒”But why does she not speak?” -Euripides, Alcestis


Author: Alex Michaelides

(4.06 stars – Goodreads rating)

Genre: Crime Fiction / Mystery / Thriller

Published February 5, 2019by Celadon Books

Format: Hardcover

Pages: 323 (Hardcover)

#TheSilentPatient #SilentPatient


Unexpressed emotions will never die. They are buried alive, and will come forth later, in uglier ways.

-Sigmund Freud

I wanted to read this book from the moment I read the summary online just before it was released. I knew it was going to get great buzz and – if the author did right by it – it would be worth it. I was right on all counts. This is a perfect example of a book that hits all the right subtle notes and then suddenly throws you into a locked room full of crashing cymbals. And you never want to leave.

When you pick up a thriller you want just that – to be thrilled. You want some basic ingredients: Suspense, mystery, and an un-guessable ending. The Silent Patient delivers all that. The scene is set at a mental institution, which only adds to the unstable nature of all the other action. There’s an overlying air of security and structure, with little bursts of chaos here and there that let us know that nothing about this is completely under control.

Here’s the Goodreads summary: Alicia Berenson writes a diary as a release, an outlet – and to prove to her beloved husband that everything is fine. She can’t bear the thought of worrying Gabriel, or causing him pain. Until, late one evening, Alicia shoots Gabriel five times and then never speaks another word. Forensic psychotherapist Theo Faber is convinced he can successfully treat Alicia, where all others have failed. Obsessed with investigating her crime, his discoveries suggest Alicia’s silence goes far deeper than he first thought. And if she speaks, would he want to hear the truth?

I’m only going to write positive, happy, normal thoughts. No crazy thoughts allowed.

Alicia Berenson

What, exactly, is that animalistic draw toward stories involving psychosis and mental institutions? Oh, it’s just me? Maybe it’s just our attempt to understand the whys behind acts we can’t ever fathom doing ourselves. We don’t get it, and we just want to figure it all out. Whatever it is, these stories pull me in and this one was no exception.

I read this book in one day. I am not a fast reader, and I usually have multiple things that pull me away from reading at any given time. But on the day that I read this, I was uninterrupted. Maybe the book gods granted me that time because they knew exactly how this book needed to be digested – in one big gulp. It truly is a page-turner with palpable suspense that grows with each new character introduced, each new bit of the mystery revealed, and each new piece of the puzzle revealed.

But that’s what Alicia did for you. Her silence was like a mirror – reflecting yourself back at you. And it was often an ugly sight.

Theo Faber

Tbh, writing this review is difficult for me. There’s so much I want to just blurt out, but spoilers. So I am keeping it very basic by saying that if you like twisty suspense novels, read The Silent Patient. But don’t just read it in anticipation of a great twist. Read it for the masterful story construction, for the depth of deception, and for the silent accusation on the part of more than just the character of Alicia. It’s a thriller to not be missed.


Alex Michaelides

Born in Cyprus in 1977 to a Greek father and English mother, Alex Michaelides studied English literature at Cambridge University and got his MA in screenwriting at the American Film Institute in Los Angeles. He wrote the film The Devil You Know (2013) and co-wrote The Brits are Coming (2018), THE SILENT PATIENT is his first novel. (-Macmillan)


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